Analgesic Efficacy of Genicular Nerve Block Versus Local Anaesthetic Infiltration Between Popliteal Artery and Capsule of the Knee (IPACK Block ) in Patients Undergoing Anterior Cruciate Ligament (ACL) Repair by Knee Arthroscopy . A Randomized Controlled Prospective Study .
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Post Operative Pain
- Sponsor
- Beni-Suef University
- Enrollment
- 120
- Locations
- 1
- Primary Endpoint
- VAS score
- Status
- Recruiting
- Last Updated
- last year
Overview
Brief Summary
One of the most common injuries to the knee is an anterior cruciate ligament (ACL) sprain or tear due to trauma ACL damage is crippling and often requires repair with an arthroscopic method, which is an outpatient surgery. Nevertheless, patients experience severe postoperative pain on the first day after the ACL reconstruction.Efficient postsurgery pain management is an important part of patient recovery that is also crucial for their satisfaction.
Detailed Description
The optimum role of peripheral nerve blocks in ACL reconstruction continue to be debated as a component of multi-modal analgesia . As such ,an ideal block for ACLR would target sensation but not motor function,have minimal complication risk,and be easily reproducible The genicular nerves include branches from the femoral, common peroneal, saphenous, tibial, and obturator nerves which innervate the knee capsule . The superolateral, superomedial, and inferomedial On the other hand, the interspace between the Popliteal Artery and Capsule of the Knee (IPACK) block provides analgesia on the posterior knee joint, and the application of a genicular or IPACK block has been be associated with promising outcomes following the ACLR surgery
Investigators
Mariana Soliman
Lecturer of anaesthesia, surgical intensive care and pain managment
Beni-Suef University
Eligibility Criteria
Inclusion Criteria
- •Patient age from 18 to 45 years old Patient status ASA I - II Patient body mass index (BMI) \<40 kg/m2
Exclusion Criteria
- •-Patients were excluded if they refused consent.
- •Patients who are Not cooperative.
- •BMI \>40 kg/m
- •Allergy to local anesthetics.
- •Patients with anticoagulation or bleeding problems.
- •Previous nerve dysfunction.
- •Physical status ASA class IV.
Outcomes
Primary Outcomes
VAS score
Time Frame: 48 hour
Measuring pain intensity regarding mean visual analogue score (VAS score ) ranging from 0 (no pain) to 10 (the worst imaginable pain.
Secondary Outcomes
- Incidence of occurrence of systemic toxicity(Within 24 hour)
- The length of hospital stay .(within one week)
- Ambulatory score(Within 48 hour)
- Time of first rescue analgesia(within 24 hour)
- Total opioid consumption post operative(Within 24 hour)